Predictive factors of life quality among packaging workers in Taiwan.

The semiconductor plants on the top of high-tech industrial chain hire many packaging workers to carry out miscellaneous packing tasks for various product orders from different companies and countries. Under tremendous workload the quality of life (QoL) of such packaging workers need to be concerned. The aim of this study was to explore factors influencing their QoL. This study recruited 247 packing workers (162 male and 85 female; mean age: 35.6 years old) in 2015 and 2016 from a semiconductor plant in Taiwan by convenience sampling. The questionnaire comprised four parts: demographics, the World Health Organization Quality of Life (WHOQOL-BREF), an occupational burnout inventory and the Nordic Musculoskeletal Questionnaire. The four domains of the WHOQOL-BREF were defined as outcome variables. Predictive factors included gender (reference: male), age (reference: ≤ 35), BMI (reference: ≤ 25), educational level (reference: below university), marital/partner status (reference: married/cohabiting), years of work (reference: ≤ 5), work shift (reference: day shift), personal burnout, work-related burnout, over-commitment to work and the number of body parts with discomfort (0-9). The findings showed that physical QoL was negatively correlated with night -shift work, personal burnout, and number of body parts with discomfort. Psychological QoL was negatively correlated with night shift work and personal burnout. Environment QoL was negatively correlated with being male, night shift work and personal burnout. The results showed that the QoL among the packaging workers could be improved by reducing musculoskeletal discomfort, personal burnout and by improving work schedules.

Water-Based Automobile Paints Potentially Reduce the Exposure of Refinish Painters to Toxic Metals.

Exposure to lead-containing dusts is a global public health concern. This work addresses an important issue of whether eco-friendly water-based paints reduce the exposure potential of auto-repainting workers to metals. With this aim, metal levels in automobile paints and worker metal exposure were measured using both solvent- and water-based paints. The levels of metals, and particularly Pb, Cr (total), Fe, and Cu, in solvent-based paints varied greatly among colors and brands. Lead concentrations ranged from below the detection limit (~0.25 μg/g) to 107,928 μg/g (dry film) across all samples. In water-based paints, the concentrations of Pb and Cr (total) were generally two to three orders of magnitude lower, but the concentrations of Al and Cu exceeded those in some solvent-based paints. The personal short-term exposure of workers who applied water-based paints of popular colors, such as black and white, were generally low, with Pb levels of less than <4 µg/m³ and Cr (total) levels of less than 1 µg/m³. Conversely, mean short-term exposure to Pb during the painting of a yellow cab using solvent-based paints were 2028 µg/m³, which was ~14 times the Taiwan short-term permissible exposure limit, while the mean level of exposure to Cr (total) was 290 µg/m³, which was well below the exposure limit. This study demonstrates that water-based paints reduce the exposure potential to lead, and highlights the importance of source control in limiting the toxic metals in paints.

Essential and toxic metals in animal bone broths.

Background: This investigation examines the extraction of metals from animal bones into broth, and assesses whether bone broths are good sources of essential metals and the risks associated with the consumption of toxic metals. Method:Three sets of controlled experiments were performed to study the factors (cooking time, acidity, bone type and animal species) that influence metal extractions. Three types of animal bone broth-based foods were also tested. Results: Reducing the broth pH from 8.38 to 5.32 significantly (p < 0.05) increased Ca and Mg extraction by factors of 17.4 and 15.3, respectively. A long cooking time, > 8 h, yielded significantly higher (p < 0.05) Ca and Mg extraction than shorter cooking times. The extraction characteristics of metals, particularly Ca, Mg, Cu and Al, from the leg and rib bones differed. The between-species variations in extraction were larger than those of within-species. Conclusions:The Ca and Mg levels in home-made or commercial broth/soup were found not to exceed low tenths of milligram per serving, or <5% of the daily recommended levels. The risks that are associated with the ingestion of heavy metals such as Pb and Cd in broth are minimal because the levels were in the ranges of a few µg per serving.

Risks of musculoskeletal disorders among betel quid preparers in Taiwan.

BACKGROUND: Betel quid chewing is common in Taiwan. The work of betel quid preparers is characterized by long hours of static work, awkward working posture and highly repetitive hand/wrist motion. However, the musculoskeletal health of betel quid preparers receives very little attention. METHODS: The Chinese version of the Standardized Nordic Musculoskeletal Questionnaire (NMQ) was administered, and electrogoniometers and electromyography were used in this cross-sectional study to characterize the hand/wrist motion of the subjects. Physical examinations on the thumbs and wrists of the subjects were conducted by means of Phalen's test and Finkelstein's test, respectively. RESULTS: Among the 225 participants, more than 95% attributed their musculoskeletal complaints to their work, and shoulder, neck, hand/wrist, and lower back discomfort were most frequently reported. More than 70% of the preparers did not seek medical treatment for their musculoskeletal problems. Based on the physical examination, 24% of the participants had suspected symptom of either carpal tunnel syndrome (CTS) or DeQuervain's tenosynovitis. The instrumental measurements indicated that betel quid preparation is characterized by extreme angle ranges and moderate repetition of wrist motion as well as low forceful exertion. CONCLUSIONS: This study concludes that betel quid preparers are a high risk group of developing musculoskeletal disorders (MSDs). Future studies by electrogoniometers and detailed physical examination on betel quid preparers are needed to determine the predisposing factors for CTS. Some intervention measures to prevent MSDs and to lessen psychological stress for this group of workers are strongly suggested.

Prevalence of musculoskeletal disorders and ergonomic assessments of cleaners.

BACKGROUND: Professional cleaning has emerged as a new industry in Taiwan in the past few years. However, information about the workload and prevalence of musculoskeletal disorders (MSDs) among these workers is still limited. This study investigated the prevalence of musculoskeletal discomforts and the characteristics of musculoskeletal activities of cleaning workers in Taiwan. METHODS: Face-to-face interviews to collect basic information and to administer the Chinese version of the Standardized Nordic Musculoskeletal Questionnaire were conducted on 180 cleaners. Biaxial electrogoniometers and electromyography were used to characterize the motion and forceful exertion of 56 cleaners during work. RESULTS: Nearly 90% of the participants reported musculoskeletal discomfort in at least one body part due to work. Of the nine body parts examined, hand/wrist (41.7%), shoulder (41.1%), low back (37.8%), and elbow (33.3%) were most frequently reported to exhibit discomfort. Additionally, time pressure as a psychosocial risk factor was found to be associated with discomfort in several body parts. Measurements of electrogoniometry showed that wrists of many cleaners were frequently held in extreme angles of ulnar/radial deviation, leading to an increased risk of developing carpal tunnel syndrome. Motion repetitiveness and force output during mopping and sweeping tasks were considered less influential in developing hand/wrist discomfort. CONCLUSIONS: Cleaners in Taiwan are a high-risk group for developing MSDs, and solutions are needed to avoid extreme motion angles of the wrists when performing cleaning tasks. Moreover, both psychosocial stress and the welfare of this group of workers deserve immediate attention from management and the government.

Prevalence of musculoskeletal disorders and job exposure in Taiwan oyster shuckers.

BACKGROUND: Oyster shucking is characterized by long hours of static work, awkward working posture, and highly repetitive hand/wrist motion. The objectives of this study were to investigate the prevalence of musculoskeletal discomfort and kyphosis in oyster shuckers in Taiwan as well as the biomechanical features of oyster shucking. METHODS: The Chinese version of the Standardized Nordic Musculoskeletal Questionnaire was successfully collected from 234 oyster shuckers. The characteristics of workstation, hand/wrist motion angles, and muscular exertion in shucking oysters were recorded. Measurements to identify kyphosis were also taken from the subjects and a control group. RESULTS: Among the participated oyster shuckers, low back (75.2%), hand/wrist (60.3%), shoulder (44.0%), and elbow (27.8%) discomfort were reported most frequently. The prevalence of low back discomfort in oyster shuckers was higher than various groups of workers who need long hours of seated position. Those who worked on tables had fewer musculoskeletal complaints in shoulder and elbow (P < 0.05) than those not. Additionally, oyster shuckers were more prone to kyphosis than the general population (P < 0.001). CONCLUSIONS: Oyster shuckers are observed to have high prevalence of musculoskeletal discomfort and kyphosis. Introduction of ergonomic design to oyster shucking workshops is strongly suggested.

Using a modified electrical aerosol detector to predict nanoparticle exposures to different regions of the respiratory tract for workers in a carbon black manufacturing industry.

The present study was set out to characterize nanoparticle exposures in three selected workplaces of the packaging, warehouse, and pelletizing in a carbon black manufacturing plant using a newly developed modified electrical aerosol detector (MEAD). For confirmation purposes, the MEAD results were compared with those simultaneously obtained from a nanoparticle surface area monitor (NSAM) and a scanning mobility particle sizer (SMPS). We found that workplace background nanoparticle concentrations were mainly coming from the outdoor environment. Size distributions of nanoparticles for the three selected process areas during the work hours were consistently in the form of bimodel. Unlike nanoparticles of the second mode (simply contributed by the process emissions), particles of the first mode could be also contributed by the forklift exhaust or fugitive emissions of heaters. The percents of nanoparticles deposited on the alveolar (A) region were much higher than the other two regions of the head airway (H), tracheobronchial (TB) for all selected workplaces in both number and surface area concentrations. However, significant differences were found in percents of nanoparticles deposited on each of the three regions while different exposure metrics were adopted. Both NSAM and MEAD obtained quite comparable results. No significant difference can be found between the results obtained from SMPS and MEAD after being normalized. Considering the MEAD is less expensive, less bulky, and easy to use, our results further support the suitability of using MEAD in the field for nanoparticle exposure assessments.

Establishing aerosol exposure predictive models based on noise measurements--using concrete drilling as an example.

This study used a full scale mockup of a concrete drilling simulator to simulate drilling processes in an exposure chamber. Six drilling conditions were selected with rotating speeds and drill bit sizes varied from 265 to 587 rpm and 16 to 32 mm, respectively. For each drilling condition, the emitted noise power spectrums were measured and dust exposure concentrations of the fractions of the total (C(tot)), inhalable (C(inh)), thoracic (C(tho)), and respirable (C(res)) were estimated. We find that neither the resultant dust exposure levels nor the noise levels can be explained simply by the involved drilling mechanical energy. By dividing the emitted noise power spectrums into the high and low frequency noise (i.e., W(H) and W(L)), we find that 86.3%, 85.6%, 81.5%, and 77.6% variations of C(tot), C(inh), C(tho), and C(res) could be explained by the combination of W(H) and W(L), respectively. We also find that the emissions of coarse particles and W(L) were possibly contributed by two mechanisms of the impact wear and brittle fracture wear, whereas fine particles and W(H) could be contributed by the mechanism of abrasive wear. Although the predictive models obtained from this study could not be directly used in other dust emission sources, the developed methodology would be beneficial to industries in the future for aerosol exposure assessment, particularly when conducting conventional personal aerosol samplings is not possible in the field.

Work fatigue and physiological symptoms in different occupations of high-elevation construction workers.

The objective of this study is to investigate whether work fatigue and physiological symptoms that high-elevation construction workers experience would be affected by the occupations. Questionnaires of demographic data and subjective fatigue symptoms as well as some physiological measurements were carried out, pre- and post-shift, on scaffolders, steel fixers, formworkers, electrician-plumbers, concreters and miscellaneous workers at a high-rise building construction site. This study found that some subjective fatigue symptoms coincide with the life style of some workers and that the extent of fatigue symptoms and physiological strains varies among different occupations of construction workers. Scaffolders, steel fixers and formworkers are categorized as physically demanding fatigue type of workers, while concreters, electrician-plumbers and miscellaneous workers as general type. The prevalence and occurrence of subjective fatigue symptoms indicate high-elevation workers have more complaints of "projection of physical impairment" than "drowsiness and dullness" and "difficulty in concentration". Some unexpected changes (i.e., post-shift measurements are greater than pre-shift ones) in some strength tests in scaffolders and concreters were consistent with the observations of how they exercised their bodies during work shift. Considerable variation of average heart rate among occupations was found, with scaffolders the highest and concreters the lowest. This study concludes that questionnaires of subjective fatigue symptoms and some physiological measurements can be used as indicators to predict the extent of strains or hazards which construction workers encounter. In terms of management program of safety and health, more attention should be paid to those physically demanding workers, such as scaffolders, workers with lower sense of safety and health, such as miscellaneous workers, and workers with older age, such as concreters.

Development of a Taiwanese head model for studying occupational particle exposure.

This study reports a method for constructing a head model with a continuous airway passage beginning from the nostrils and continuing through the second generation of bronchi, using computerized tomographic (CT) images of facial features and airway passages from a healthy Taiwanese male adult. When combined with a manikin torso and connected to a cyclic breathing machine, the Taiwanese head model can simulate human breathing movement. This model enables investigation of important parameters of deposition efficiency without the inter- and intrasubject variability that often occurs in human studies. Being an assembly of numerous polymethyl methacrylate (PMMA) plastic slabs, the head model can be applied to study particle deposition at specified respiratory regions. The nasal geometry obtained in this study was compared with those obtained in other studies, which demonstrated this head model to be 36% smaller in nostril cross-sectional area than for European Americans. Additionally, this Taiwanese head model was found to be shorter in nasal cavity length, and the minimum cross-sectional area was only 50% compared to that of European Americans. This study also measured the nasal inhalation efficiency and deposition for particles ranging from 1.5 to 15 microm under various ventilation levels to test the feasibility of this head model. Future particle deposition studies using this Taiwanese head model can be compared with the currently available data, which are primarily based on Caucasian cast models or human subjects.

Characteristics and health impacts of volatile organic compounds in photocopy centers.

This study investigates the indoor air quality of typical photocopy centers in Taiwan to evaluate the human health risk following inhalation exposure. Both personal and area samplings were conducted at seven photocopy centers in the Tainan area from July 2002 to March 2003, which covered both summer and winter seasons in Taiwan. The benzene, toluene, ethylbenzene, xylenes, and styrene (BTEXS) measurements indicated no difference between personal and area samplings (P>0.05) and found that air conditioning improves indoor air quality. The additive factor at each photocopy center was significantly below 1.0, based on the current BTEXS permissible exposure limits in Taiwan. However, the mean benzene and styrene levels in the current study were 138 and 18 times, respectively, higher than those in another study conducted in the United States. Comparison of mass ratios of BTEXS with those of several chamber studies revealed that the photocopier is not the only volatile organic compound (VOC) source in photocopy centers. The lifetime cancer and noncancer risks for workers exposed to VOCs were also assessed. Results show that all seven centers in this study had a lifetime cancer risk exceeding 1x10(-6) (ranging from 2.5x10(-3) to 8.5x10(-5)). Regarding noncancer risk, levels of toluene, ethylbenzene, xylenes, and styrene were below the reference levels in all photocopy centers; however, the hazard indices for all still exceeded 1.0 (range 26.2-1.8) because of the high level of benzene in the photocopy centers.